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Living Arrangements: Child Protection Client Status:
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Referral Date: dd/mm/yyyy Closed Date:
Counsellor: Reason for Closure:
Unprogressed: Drop-In:
Pre-School: Consent for Govt to Contact:
Highest Schooling: Receiving Centerlink?
Marital Status: Active?:
       
Who Received Service:  Client  Partner  Family  Friend  Parent/Carer
Contacts:
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Disabilities:
 Intellectual / Learning     None
 Not Stated / Inadequately Described     Other
 Physical / Diverse     Psychiatric
 Sensory / Speach 
Other Identified Issues:
 Aggressive Behaviours     Anger
 Anxiety     Attachment Disorder
 Bullying     Criminal Involvement
 Depression     Dissociation
 Domestic Violence     Drug / Alcohol Misuse
 Eating Disorder     Employment Problems
 Financial     Flashbacks
 Grief     Housing
 Interpersonal Relationships     Isolation
 Loneliness     Low Self-Esteem
 Mistrust     Nightmares
 Parenting Skills     Phobias
 Poor Impulse Control     Post - Trauma
 Problematic Sexual Behaviours     Revictimisation
 School Problems     Self Harming Behaviour
 Sexual Dysfunctions     Sexuality
 Sexually Abusive Behaviours     Sleep Disturbances
 Somatic Complaints     Suicidal Ideation / Behaviours
 Witness to Domestic Violence 
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Client Status:
 Improved Life Skills  Support Still Required
Therapeutic Interventions:

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Date: Thu, July 2, 2020 For: Phone Contact Time: 10  Edit
Notes: Contact made to Delveen (aunt) following up on the consent form. Delveen confirmed she received the consent. She stated Rochelle Dodds emailed it the completed form to Phoenix House. I informed Delveen I would follow-up the email and commence school-based appointments with Sarah once finalised. CM

Date: Wed, June 3, 2020 For: Phone Contact Time: 5  Edit
Notes: Call attempted to Delveen (aunt) regarding Sarah. A message was left infomring Delveen to call the office. CM.

Date: Wed, May 13, 2020 For: Individual Counselling Time: 5  Edit
Notes: Mailed consent for counselling children at school form to be signed and returned. CM.

Date: Wed, May 6, 2020 For: Phone Contact Time: 10  Edit
Notes: Contact made to Delveen (aunt). Delveen confirmed Sarah is attending school again. She asked that our appointments be made through Isis SHS. As Delveen does not have an email account, she asked for the school consent for to be mailed to her. CM.

Date: Thu, April 30, 2020 For: Phone Contact Time: 10  Edit
Notes: Call attempted to Delveen (aunt). A message was left asking she call back admin to let them know if Sarah has returned to school or if she is schooling from home. CM.

Date: Wed, April 8, 2020 For: Arranging Referrals Time: 15  Edit
Notes: Contacted Delveen (aunt) who advised that she believes Sarah would benefit from counselling and wanted to know if we could do this through the school after the holidays. Have noted diary for follow up in two weeks. Emailed Clare & Bre to look at options for school contact (attached). LG

Date: Mon, April 6, 2020 For: Arranging Referrals Time: 10  Edit
Notes: Attempted contact with Delveen to check on decision re Sarah accessing counselling. Msg left to call P/H. B/Up task 8/4/2020. LG

Date: Tue, March 31, 2020 For: Arranging Referrals Time: 15  Edit
Notes: Contacted Delveen (Aunt) who sees Sarah daily; advised of the referral from Centacare and delay in contacting due to oversight in allocation of file; apologies given. Delveen advised that Sarah has just finished sessions with Headspace a few weeks ago. Delveen will discuss referral with Vicki (mother) and Sarah and come back to P/H with decision to undertake counselling. Diary task reminder for 1 week then close. Emailed Bre and Clare update (Attached). Updated database and spreadsheet. LG

Date: Mon, March 30, 2020 For: Recording Data Time: 10  Edit
Notes: Emailed Bre to determine who is allocated (Therese or Bronwyn) conflicting records; Still shown as Diane King 10/1/2020. LG

Date: Mon, March 30, 2020 For: Intake Time: 15  Edit
Notes: Case review complete, allocated to Provisional Psychologist Clare Madle. Contact to be made at Isis State High School. BW

Date: Fri, January 10, 2020 For: Intake Time: 15  Edit
Notes: Triage allocation to Therese for protective behaviours

Date: Tue, November 5, 2019 For: Arranging Referrals Time: 30  Edit
Notes: Raise Client file updated database and client spreadsheet raise outside referral letter. DBK>

Date: Tue, November 5, 2019 For: Arranging Referrals Time: 0  Edit

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Referrals:

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Memos:
Date: Tue, November 5, 2019 Action Reqired: No  Edit
Memo: CentacareCQ Blundell. DBK
Document:  View Document >>  

Date: Tue, November 5, 2019 Action Reqired: No  Edit
Memo: CentacareCQ Blundell. DBK
Document:  View Document >>  

Date: Tue, March 31, 2020 Action Reqired: No  Edit
Memo: Email Update re Sarah Blundell Referral - 31.03.2020. LG
Document:  View Document >>  

Date: Wed, April 8, 2020 Action Reqired: No  Edit
Memo: Email Team -Sarah Blundell - options 08.04.2020. LG
Document:  View Document >>  

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